Nursing of premature babies

The monograph reflects the experience of the Department of pathology and physiology premature babies United children's hospital № 20, Leningrad.
In section outlines the modern views on the nursing of premature infants, are detailed anatomical and physiological features, highlights issues of care, feeding and organizations specialized departments.
A great place is given pathology of premature children. We analyze the main diseases of the newborn period - sepsis, pneumonia, hemolytic disease, intracranial birth trauma. Special attention is paid to prevention and modern methods of treatment.
A special Chapter dedicated to the prevention of nosocomial infections, the epidemic regime at the service of patients with acute respiratory diseases, with purulent and intestinal infection, infectious hepatitis.
Section is intended for the sisters of maternity hospitals and specialized departments for premature newborns and paramedics rural medical stations.
The monograph contains 7 tables, 23 figure; bibliography - 40 titles.


The problem of prematurity is one of the most actual in modern Pediatrics. Over the last decade the organization premature became more perfect. In different cities of our country, opened a maternity hospital for premature births and specialized departments for premature newborns.
Great importance is attached to training of nurses. Along with practical skills on child care nurses are required and some theoretical knowledge, without which it is difficult to fulfil qualified nursing and treatment.
Currently, the General cultural level of nurses has increased significantly. Many of them have finished a ten-year education. Therefore, the author has done absolutely correctly, read the sections anatomical and physiological peculiarities, questions of feeding, pathogenesis, clinic and treatment of major diseases of the newborn period more deeply than is commonly the case in the guides for nurses.
The monograph summarizes the extensive experience of the Department of pathology and physiology premature babies United children's hospital № 20, Leningrad. The Department was organized in 1950 and currently is the center, where are hospitalized premature children with various disorders.
For the period from 1962 to 1972, the office received 3 480 premature babies, of which 1321 with weight up to 1500
There is no doubt that this book will be a guide for the medical staff on the issue of premature and will be useful for young doctors working with babies.
Lenin prize laureate, academician of AMS of the USSR, Professor A. F. Tour

Table of contents
Chapter 1. Characteristics of premature child and causes of prematurity
     The concept of prematurity
     Congenital hypotrophy
     Causes of prematurity
     External signs of premature
Chapter 2. Anatomical and physiological features of premature baby
     The overall status and peculiarities of the nervous system
     Bone system
     Features of thermoregulation
     Respiratory system
     Cardiovascular system
     Digestive system
     Urogenital system
     Water and mineral metabolism
     Peculiarities of blood
     Immunity and reactivity
     Physiological weight loss
     Physiologic jaundice
Chapter 3. Physical and psychomotor development of premature babies
Chapter 4. Organization of specialized departments for premature newborns
     The role of nurses
     Responsibilities of the ward sisters
     Transfer duty
     Workplace sisters
     The admission of new sisters
     The senior nurse
     The duties of responsible sisters
     The responsibilities of nurses
     Stay mothers in the maternity house
     Stay mothers in the Department for premature babies
     Study sisters
     Sanitary-educational work in the Department for premature babies
Chapter 5. Caring for premature baby
Ligation of the umbilical cord and further care of the umbilical residue and umbilical wound
Prevention of infections
Nursing in incubators and open infant incubators
Warm premature infants in the absence of incubator
Temperature chambers
Ventilation chambers
Actions sisters when the child has a high temperature
The skin and mucous membranes
Temperature measurement
Measurement of the body
Prevention of pneumonia
Laying on his stomach and belly massage
Hanging toys
Walk on the street
Transportation of children
Chapter 6. Feeding premature babies
First feeding
The calculation power
The frequency of feedings
General provisions feeding premature babies
Preparation for breastfeeding
Methods of feeding
Feeding through a tube
Expressing some milk
Storage and sterilization of milk
Storage and sterilization nipple
Characteristics of milk
Replacement of breast milk
Protein grant
The purpose of vitamins, juices
Chapter 7. Therapeutic procedures and techniques of their performance
The distribution of medicines
Storage of drugs
Breeding of antibiotics
Subcutaneous and intramuscular injections
Technics medical manipulations
Artificial respiration mouth-to-mouth
Indirect heart massage
Suction mucus from the oral cavity and the upper respiratory tract
Cleansing enema
Drug enema
Hot tub
Intravenous drip infusion
Washing stomach
The taking of the samples
Chapter 8. Sanitary-epidemic regime branch
Sanitary-and-hygienic mode
     Examination of personnel
     Survey of mothers
     Personal hygiene sisters
     Storage of personal belongings
     The wearing of masks
     Disinfection changing table
     Dirty linen
     Preparation of disinfectant solution
     Ventilation chambers
     Ventilation Department
     Radiation chambers
     The control of the sanitary
Epidemic mode
     Epidemic mode with acute respiratory diseases and pneumonia
     Epidemic mode when purulent infection
     Prevention of intestinal infections
     Epidemic regime at the service of children with intestinal infection
     Prevention of infectious hepatitis
     Epidemic mode when servicing children with infectious hepatitis
Chapter 9. The main diseases in newborns
Asphyxia newborns
     Intrauterine asphyxia
     Primary newborn asphyxia
     Secondary, or acquired, asphyxia
     Treatment and prevention of asphyxia
Intracranial birth trauma
The syndrome of respiratory disorders (hyaline membrane)
Hemolytic disease of the newborn
     Hemolytic disease caused by incompatibility system AB0
Symptoms of obstruction of the digestive tract
Diaper rash
Infectious pathology
Acute respiratory diseases
     The etiology and pathogenesis
     Intrauterine pneumonia
     Aspiration pneumonia
     Telematicheskiye pneumonia
     Pneumonia occurred on the background of viral respiratory diseases
     Septic pneumonia
     Staphylococcal pneumonia
     Interstitial Pneumocystis pneumonia
     Treatment of pneumonia
     The pemphigus newborns (disease)
     Exfoliative dermatitis Ritter
Inflammatory diseases of the navel and umbilical vessels
Purulent meningitis
The literature index